Mumbai: Avascular necrosis (AVN), or bone tissue death, can be a subsequent weakening condition among post-covid patients after the rupture of mukormycosis or black fungi two months ago.
At least three cases of avascular necrosis confirmed after Covid-19 has been reported scientifically from Mumbai, and doctors are afraid more likely in the next few months.
The general factor between mukormycosis and avascular necrosis is the use of steroids, the only drug that is proven to help patients covid-19.
Hinduja Hindu, Mahim, treated three young patients (under 40) who developed necrosis of two months after they were treated because Covid.
“These patients develop pain in their thigh bones (the highest part of the thigh bone) and, because they are doctors, they recognize symptoms and rushed for care,” said Dr.
Sanjay Agaru, Medical Director of Hindu Hospital, Mahim.
Research paper Agarawala, ‘avascular necrosis as part of a long covid-19’, published on Saturday in a prestigious medical journal ‘BMJ case study’.
He said “the use of a large-scale rental corticosteroid” in the case of Covid-19 will produce “resurrection of cases AVN case “.
Other orthopedic specialists told TII they have also seen one or two cases among post-covid patients.” In patients suffering from Long Covid-19 and need steroids, this is a concern, “said a civil hospital doctor.
Dr.
Rahul Pandit, an intensive member who is a member of the Covid-19 Government Task Force, said he was in “surveillance” for the avascular necrosis.
“I hope for the case In one or two months because AVN usually occurs five to six months after the use of steroids.
Our second covid wave peak in April when steroids are used freely to treat patients, so we can see it immediately, “added Dr.
Pandit.
But Dr.
Agarwala, known as an avascular necrosis specialist who pioneered medical treatment (called a bisphosphonate regime) for that 20 Years used throughout the world, have begun to see droplets.
His studies underlined the two alarming trends: Post-Covid patients have a lower threshold dose of steroids and the emergence of previous presentations.
They were given an average dose of 758mg prednisolone corticosteroids that were less than 2,000 Mg of the dose known to trigger AVN.
Second, it usually takes six months to one year to develop AVN after post-steroid use.
“But our series of patients developed the initial AVN at an average of 58 days after their diagnosis,” said Dr.
Agar Guala.
Because of the patient -Patient is looking for help early, they don’t need surgery, general intervention for uk avascular necrosis.
“Covid-19 victims who have survived steroids, and then developed hip or thigh pain, need MRI confirmation to determine the AVN diagnosis of the hip.
If they begin with initial bisphosphonate therapy, they can have a reversal of extraordinary diseases,” Dr.
Agard said.